Test Bank for Therapeutic Exercise Foundations and

Techniques, 6th Edition : Kisner

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Test Bank for Therapeutic Exercise Foundations and Techniques, 6th Edition : Kisner

Chapter 9: Aquatic Exercise

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. If present, which of the following conditions is a contraindication to having a patient perform an
exercise program in an aquatic environment?
A. Tracheotomy
B. Fear of water
C. Influenza
D. High blood pressure

____ 2. Decreasing the amount of weight bearing by immersing more of a person’s body in water is a result
of what property of water?
A. Viscosity
B. Buoyancy
C. Surface tension
D. Hydrostatic pressure

____ 3. When a person is standing in chest-deep water, the percentage of weight bearing is approximately
what percentage of body weight?
A. 10%
B. 20%
C. 33%
D. 50%

____ 4. If a patient has lower extremity edema, which of the following principles associated with
hydrotherapy (an aquatic environment) will assist with decreasing the edema?
A. Viscosity
B. Buoyancy
C. Surface tension
D. Hydrostatic pressure

____ 5. While playing tennis, Mr. K sustained a grade 3 tear of the Achilles tendon and subsequently
underwent a surgical repair of the tendon. His wound is now well healed, and he is permitted to
immerse the incision site in water. His goal for therapy is to return to tennis competitively. To
challenge his balance on the involved lower extremity, you have him stand in front of a strong,
single stream of water (jet) while trying not to use his arms for balance. This activity applies which
hydromechanics property of water?
A. Drag
B. Viscosity
C. Laminar flow
D. Turbulent flow

____ 6. Which of the following statements is true regarding the temperature range of water (26–33C)
recommended for aquatic exercise?
A. Perform cardiovascular exercise at the low end of this range.
B. Patients with multiple sclerosis should exercise in temperatures at the high end of

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 this range.
C. Perform intense aerobic exercise at the high end of this range.
D. If a patient has an acute, painful injury, perform exercise at the low end of this
range.
____ 7. Which of the following is true regarding aquatic therapy equipment?
A. Buoyancy equipment placed anteriorly will facilitate posterior movements of the
trunk in the vertical position.
B. Buoyancy equipment used for supine positioning is ideal to assist with stabilization
needed for eccentric manual resistance exercises.
C. Nonbuoyant equipment used underwater provides resistance opposite the direction
of movement.
D. Using equipment to increase the surface area of an extremity underwater decreases
resistance.
____ 8. Meyer and Leblanc provided an algorithm for clinical decision making for aquatic therapy
intervention for patients with stable congestive heart failure and/or left ventricular dysfunction. All
of the following are true in this algorithm except:
A. Patients with decompensated congestive heart failure should participate in aquatic
exercise for cardiac rehabilitation.
B. Patients with left ventricular dysfunction should not rely on how they feel in the
water as an indicator of tolerance for aquatic exercise.
C. Patients with congestive heart failure who tolerate sleeping supine may be able to
tolerate a half-sitting position if immersion is not above the xiphoid process.
D. Patients with Q-wave myocardial infarcts should wait 6 weeks and exercise upright
in a water level that does not exceed the xiphoid process.
____ 9. Which of the following describes the most effective patient position and use of the buoyancy of
water for self-stretching the hamstrings?
A. In a buoyancy-supported supine position (flotation devices around the neck and
hips), perform a unilateral straight-leg raise, lifting the leg to be stretched out of
the water.
B. With a buoyancy device secured around the distal thigh of the leg to be stretched,
stand on the opposite leg and hold on to the side of the pool for balance. Keep the
knee relaxed as the buoyancy device lifts the thigh and flexes the hip.
C. Sit on the steps of a pool in waist-deep water, hips flexed to 90, with a buoyancy
device secured around the ankle of the leg to be stretched.
D. With a buoyancy device secured around the ankle of the leg to be stretched, stand
on the opposite leg and hold on to the side of the pool for balance. Allow the
buoyancy device to lift the leg to the surface of the water with the knee extended.
____ 10. In an aquatic environment, manual resistance exercises of the extremities typically involve which
type of muscle contractions?
A. Eccentric, closed-chain (distal segment fixed)
B. Concentric, closed-chain (distal segment fixed)
C. Isometric
D. Concentric, open-chain (distal segment moving)
____ 11. After a musculoskeletal injury of the lower extremity, you develop an aquatic exercise program for
your patient. An aquatic exercise program is the least effective for:
A. Transfer of training to land-based functional activities.
B. Reducing risk of reinjury during the early stage of rehabilitation.
C. Enabling early weight bearing.
D. Increasing ROM.

____ 12. Your patient had a total hip replacement several weeks ago. Now that her incision is well healed, she
has clearance from her orthopedic surgeon to begin an aquatic exercise program to improve lower
extremity strength. Which combination of the following patient positions and velocities of limb
movement in water is the most appropriate to begin to improve the strength of the hip
abductors/adductors at the initiation of the aquatic exercise program?
A. Fast repetitions while standing in chest-deep water
B. Slow, controlled motions while standing in chest-deep water
C. Fast repetitions, buoyancy-supported in a supine position
D. Slow, controlled repetitions buoyancy-supported in supine position

____ 13. Which of the following is true of pools used for aquatic therapy?
A. Ventilation is not necessary for installation of a self-contained, individual pool in
your clinic.
B. Therapeutic pools should not have a depth that exceeds 6 feet because of safety
requirements in case of a medical emergency.
C. One disadvantage of a self-contained individual pool is the inability to incorporate
a treadmill.
D. Built-in filtration systems are available in both therapeutic pools and
self-contained pools.
____ 14. The ability of the body to regulate temperature must be considered with the prescription of aquatic
therapy for both the healthy and the rehabilitating patient. All of the following are true of
temperature regulation except:
A. The body is not as efficient at dissipating heat in the water as it is on land.
B. Patients are unable to maintain adequate core warmth at water temperatures below
25°C.
C. The ambient air temperature should be equal to the water temperature to avoid
overheating or chilling while in the pool area.
D. Water temperatures above 37°C cause increased cardiac demand both at rest and
while exercising, especially with prolonged time or deep immersion.
____ 15. The difficulty of exercises can be controlled with the depth of immersion and the body’s
physiological response to hydrostatic pressure. According to Barbosa and colleagues, which of the
following best describes a proper progression of a patient’s exercise program in order to increase
physiological demands?
A. Land exercises to aquatic chest depth to hip depth
B. Aquatic hip depth to neck depth to land exercises
C. Alternate land exercises with aquatic chest depth exercises
D. Aquatic chest depth to hip depth to land exercises
Test Bank for Therapeutic Exercise Foundations and Techniques, 6th Edition : Kisner

Chapter 9: Aquatic Exercise

Answer Section

MULTIPLE CHOICE

1. ANS: C PTS: 1 DIF: Basic

KEY: Book Part: Part II: Applied Science of Exercise and Techniques
2. ANS: B PTS: 1 DIF: Basic
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
3. ANS: C PTS: 1 DIF: Basic
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
4. ANS: D PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
5. ANS: C PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
6. ANS: A PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
7. ANS: A PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
8. ANS: A PTS: 1 DIF: Difficult
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
9. ANS: D PTS: 1 DIF: Difficult
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
10. ANS: B PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
11. ANS: A PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
12. ANS: D PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
13. ANS: D PTS: 1 DIF: Basic
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
14. ANS: C PTS: 1 DIF: Basic
KEY: Book Part: Part II: Applied Science of Exercise and Techniques
15. ANS: D PTS: 1 DIF: Intermediate
KEY: Book Part: Part II: Applied Science of Exercise and Techniques

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